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JAQUELINE NICOLE CHAVEZ
NPI 1154979375
Marriage & Family Therapist in Chicago, IL

Active since August 30, 2019PECOS EnrolledAccepts Medicare Assignment
77 W WASHINGTON ST STE 1500, CHICAGO, IL 60602(773) 980-9679 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, Aug 30, 2019 (2 updates tracked since 2019).

About Jaqueline Nicole Chavez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAQUELINE NICOLE CHAVEZ (NPI 1154979375) is an individual marriage & family therapist in Chicago, Illinois and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154979375
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJAQUELINE NICOLE CHAVEZ
Location Address77 W WASHINGTON ST STE 1500Chicago, IL 60602-3219
Mailing Address77 W Washington St Ste 1500Chicago, IL 60602-3219
Phone(773) 980-9679
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 30, 2019
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1154979375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
77 W WASHINGTON ST STE 1500, Chicago, IL 60602
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaqueline Nicole Chavez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224563614
PECOS Enrollment IDI20241121003441
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SUNITHA RACHEL CHANDY PSYD
Psychologist (Clinical)
77 W WASHINGTON ST STE 1500
CHICAGO, IL 60602
Cook County (773) 980-9679
SITHARA VINCENT
Social Worker (Clinical)
77 W WASHINGTON ST STE 1500
CHICAGO, IL 60602
Cook County (773) 980-9679
MELANIE BURBULES
Counselor (Mental Health)
77 W WASHINGTON ST STE 1500
CHICAGO, IL 60602
Cook County (773) 980-9679
AYNA VIRK
Counselor (Mental Health)
77 W WASHINGTON ST STE 1500
CHICAGO, IL 60602
Cook County (773) 980-9679
MR. BEN DURCHSLAG
Social Worker (Clinical)
77 W WASHINGTON ST STE 1500
CHICAGO, IL 60602
Cook County (773) 980-9769
BENJAMIN HILL TUDOR
Marriage & Family Therapist
77 W WASHINGTON ST STE 1500
CHICAGO, IL 60602
Cook County (773) 980-9679
ANNA COYNE
Marriage & Family Therapist
77 W WASHINGTON ST STE 1500
CHICAGO, IL 60602
Cook County (773) 980-7679
MEGAN REDDY PHD
Psychologist
77 W WASHINGTON ST STE 1500
CHICAGO, IL 60602
Cook County (773) 980-9679

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaqueline Chavez's NPI number?

The NPI number for Jaqueline Chavez is 1154979375. It was assigned to this individual provider in the NPPES registry on August 30, 2019.

Where is Jaqueline Chavez located?

Jaqueline Chavez practices at 77 W Washington St Ste 1500, Chicago, IL 60602. The listed phone number is (773) 980-9679.

What is Jaqueline Chavez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jaqueline Chavez enrolled in Medicare?

Yes. Jaqueline Chavez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jaqueline Chavez was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.